Value of magnetic resonance angiography before prostatic artery embolization for intervention planning
Abstract Knowledge about anatomical details seems to facilitate the procedure and planning of prostatic artery embolization (PAE) in patients with symptomatic benign prostatic hyperplasia (BPS). The aim of our study was the pre-interventional visualization of the prostatic artery (PA) with MRA and t...
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| Format: | Article |
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Nature Portfolio
2024-04-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-024-58207-3 |
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| author | Matthias Boschheidgen Tim Ullrich Rouvier Al-Monajjed Farid Ziayee Rene Michalski Andrea Steuwe Peter Minko Peter Albers Gerald Antoch Lars Schimmöller |
| author_facet | Matthias Boschheidgen Tim Ullrich Rouvier Al-Monajjed Farid Ziayee Rene Michalski Andrea Steuwe Peter Minko Peter Albers Gerald Antoch Lars Schimmöller |
| author_sort | Matthias Boschheidgen |
| collection | DOAJ |
| description | Abstract Knowledge about anatomical details seems to facilitate the procedure and planning of prostatic artery embolization (PAE) in patients with symptomatic benign prostatic hyperplasia (BPS). The aim of our study was the pre-interventional visualization of the prostatic artery (PA) with MRA and the correlation of iliac elongation and bifurcation angles with technical success of PAE and technical parameters. MRA data of patients with PAE were analysed retrospectively regarding PA visibility, PA type, vessel elongation, and defined angles were correlated with intervention time, fluoroscopy time, dose area product (DAP), cumulative air kerma (CAK), contrast media (CM) dose and technical success of embolization. T-test, ANOVA, Pearson correlation, and Kruskal–Wallis test was applied for statistical analysis. Between April 2018 and March 2021, a total of 78 patients were included. MRA identified the PA origin in 126 of 147 cases (accuracy 86%). Vessel elongation affected time for catheterization of right PA (p = 0.02), fluoroscopy time (p = 0.05), and CM dose (p = 0.02) significantly. Moderate correlation was observed for iliac bifurcation angles with DAP (r = 0.30 left; r = 0.34 right; p = 0.01) and CAK (r = 0.32 left; r = 0.36 right; p = 0.01) on both sides. Comparing the first half and second half of patients, median intervention time (125 vs. 105 min.) and number of iliac CBCT could be reduced (p < 0.001). We conclude that MRA could depict exact pelvic artery configuration, identify PA origin, and might obviate iliac CBCT. Vessel elongation of pelvic arteries increased intervention time and contrast media dose while the PA origin had no significant influence on intervention time and/or technical success. |
| first_indexed | 2024-04-24T12:41:33Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-24T12:41:33Z |
| publishDate | 2024-04-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-75efd68e23e04023b08a70660629c6302024-04-07T11:13:42ZengNature PortfolioScientific Reports2045-23222024-04-011411910.1038/s41598-024-58207-3Value of magnetic resonance angiography before prostatic artery embolization for intervention planningMatthias Boschheidgen0Tim Ullrich1Rouvier Al-Monajjed2Farid Ziayee3Rene Michalski4Andrea Steuwe5Peter Minko6Peter Albers7Gerald Antoch8Lars Schimmöller9Department of Diagnostic and Interventional Radiology, University Dusseldorf, Medical FacultyDepartment of Diagnostic and Interventional Radiology, University Dusseldorf, Medical FacultyDepartment of Urology, University Dusseldorf, Medical FacultyDepartment of Diagnostic and Interventional Radiology, University Dusseldorf, Medical FacultyDepartment of Urology, University Dusseldorf, Medical FacultyDepartment of Diagnostic and Interventional Radiology, University Dusseldorf, Medical FacultyDepartment of Diagnostic and Interventional Radiology, University Dusseldorf, Medical FacultyDepartment of Urology, University Dusseldorf, Medical FacultyDepartment of Diagnostic and Interventional Radiology, University Dusseldorf, Medical FacultyDepartment of Diagnostic and Interventional Radiology, University Dusseldorf, Medical FacultyAbstract Knowledge about anatomical details seems to facilitate the procedure and planning of prostatic artery embolization (PAE) in patients with symptomatic benign prostatic hyperplasia (BPS). The aim of our study was the pre-interventional visualization of the prostatic artery (PA) with MRA and the correlation of iliac elongation and bifurcation angles with technical success of PAE and technical parameters. MRA data of patients with PAE were analysed retrospectively regarding PA visibility, PA type, vessel elongation, and defined angles were correlated with intervention time, fluoroscopy time, dose area product (DAP), cumulative air kerma (CAK), contrast media (CM) dose and technical success of embolization. T-test, ANOVA, Pearson correlation, and Kruskal–Wallis test was applied for statistical analysis. Between April 2018 and March 2021, a total of 78 patients were included. MRA identified the PA origin in 126 of 147 cases (accuracy 86%). Vessel elongation affected time for catheterization of right PA (p = 0.02), fluoroscopy time (p = 0.05), and CM dose (p = 0.02) significantly. Moderate correlation was observed for iliac bifurcation angles with DAP (r = 0.30 left; r = 0.34 right; p = 0.01) and CAK (r = 0.32 left; r = 0.36 right; p = 0.01) on both sides. Comparing the first half and second half of patients, median intervention time (125 vs. 105 min.) and number of iliac CBCT could be reduced (p < 0.001). We conclude that MRA could depict exact pelvic artery configuration, identify PA origin, and might obviate iliac CBCT. Vessel elongation of pelvic arteries increased intervention time and contrast media dose while the PA origin had no significant influence on intervention time and/or technical success.https://doi.org/10.1038/s41598-024-58207-3Prostate MRIProstatic artery embolizationMR angiographyBenign prostatic hyperplasia |
| spellingShingle | Matthias Boschheidgen Tim Ullrich Rouvier Al-Monajjed Farid Ziayee Rene Michalski Andrea Steuwe Peter Minko Peter Albers Gerald Antoch Lars Schimmöller Value of magnetic resonance angiography before prostatic artery embolization for intervention planning Scientific Reports Prostate MRI Prostatic artery embolization MR angiography Benign prostatic hyperplasia |
| title | Value of magnetic resonance angiography before prostatic artery embolization for intervention planning |
| title_full | Value of magnetic resonance angiography before prostatic artery embolization for intervention planning |
| title_fullStr | Value of magnetic resonance angiography before prostatic artery embolization for intervention planning |
| title_full_unstemmed | Value of magnetic resonance angiography before prostatic artery embolization for intervention planning |
| title_short | Value of magnetic resonance angiography before prostatic artery embolization for intervention planning |
| title_sort | value of magnetic resonance angiography before prostatic artery embolization for intervention planning |
| topic | Prostate MRI Prostatic artery embolization MR angiography Benign prostatic hyperplasia |
| url | https://doi.org/10.1038/s41598-024-58207-3 |
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